Small-diameter TIPS combined with splenic artery embolization in the management of refractory ascites in cirrhotic patients | Zendy

Nathan E. Frenk | Zendy; Teodora Bochnakova | Zendy; Suvranu Ganguli | Zendy; Nathaniel D. Mercaldo | Zendy; Andrew S. Allegretti | Zendy; Daniel S. Pratt | Zendy; Kei Yamada | Zendy

Open Access

Small-diameter TIPS combined with splenic artery embolization in the management of refractory ascites in cirrhotic patients

Author(s) -

Nathan E. Frenk,

Teodora Bochnakova,

Suvranu Ganguli,

Nathaniel D. Mercaldo,

Andrew S. Allegretti,

Daniel S. Pratt,

Kei Yamada

Publication year - 2021

Publication title -

diagnostic and interventional radiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.754

H-Index - 43

eISSN - 1305-3612

pISSN - 1305-3825

DOI - 10.5152/dir.2021.19530

Subject(s) - medicine , ascites , splenic artery , embolization , portal hypertension , hepatic encephalopathy , transjugular intrahepatic portosystemic shunt , portal venous pressure , radiology , encephalopathy , surgery , cirrhosis , gastroenterology

Maximally decreasing portal pressures with transjugular intrahepatic portosystemic shunt (TIPS) is associated with improved ascites control but also increased encephalopathy incidence. Since splenic venous flow contributes to portal hypertension, we assessed if combining small-diameter TIPS with splenic artery embolization could improve ascites while minimizing encephalopathy.

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